The number of cells capable of secreting Ag85b-specific IFN-γ was significantly higher in the Ag+Al+CpG group (154±106) than in Ag, CpG and NS groups (P<0.05) (Fig. 2d). An identical trend was found for the number of cells that secreted HspX-specific IFN-γ and C/E-specific IFN-γ (Fig. 2e and f). The number of antigen-specific IFN-γ-secreting cells in the Ag+Al+CpG group (30±26 and 44±38) was considerably higher than that in Ag, CpG and NS groups (P<0.05). The level of IL-12 was significantly higher in the Ag+Al+CpG group (42.24±26.45 pg mL−1) than in the other groups (Fig. 3a). The relatively high concentration of IL-12 in the Decitabine mouse NS group (10.53±1.58 pg mL−1) and similar levels in

the Ag (13.18±1.88 pg mL−1), Ag+Al (14.92±5.09 pg mL−1), Ag+CpG (19.45±12.32 pg mL−1) and CpG (14.03±3.14 pg mL−1) groups resulted in no significant differences when conducting multiple comparisons among these groups. Similar buy Rapamycin results were observed with IL-12 secretion

in response to HspX and C/E (Fig. 3b and c). The only group that showed an apparently higher concentration of IL-12 was the Ag+Al+CpG group (33.62±18.95 and 23.20±9.09 pg mL−1). No statistical difference in the level of IL-12 was observed among the other groups. Guinea pigs were evaluated for total lesion scores of the liver, spleen and lung and for bacterial load in the spleen [mean log10 bacilli (CFU)±SD] (Fig. 4). Total lesion scores of the tested organs in the Ag+Al+CpG group (42.50±16.72) were lower than those in the other groups, but no significant difference was found (Fig. 4a). Antigen alone in the Ag group (45.45±28.59) resulted in lower (but not statistically significant) scores than in the Ag+Al (46.67±24.96) and Ag+CpG (53.75±25.68) groups. Only the combination of the two adjuvants was capable of modestly controlling disease progression. A similar trend was also observed 3-mercaptopyruvate sulfurtransferase for the bacterial load in the spleen. The Ag+Al+CpG group (4.75±1.65) had the lowest bacterial load of all

of the groups, but no significant difference was found when compared with other groups. The Ag+Al (5.24±1.35) and Ag+CpG (5.13±0.52) groups had a similar level of bacterial load, and the Ag and NS groups were almost the same (Fig. 4b). Due to the weak immunogenicity of recombinant proteins, subunit vaccine formulations require adjuvants to enhance their immunogenicity. Recently, many of these adjuvanted subunit vaccines have entered clinical evaluations (Weinrich Olsen et al., 2001; Skeiky et al., 2004; Dietrich et al., 2005, 2006; Agger et al., 2006; Dietrich et al., 2006). In this study, we combined CpG and aluminum and observed enhanced immunogenicity of Ag85b, HspX and C/E. The combination of adjuvants effectively induced a strong humoral and cellular immune response in mice, and antigen-specific IgG was significantly higher than injection of either CpG or aluminum alone.